Provider Demographics
NPI:1063405207
Name:BIODESIGN INC
Entity type:Organization
Organization Name:BIODESIGN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:HOYT
Authorized Official - Suffix:
Authorized Official - Credentials:CP
Authorized Official - Phone:305-477-7044
Mailing Address - Street 1:2460 W 26TH AVE
Mailing Address - Street 2:C175
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-5308
Mailing Address - Country:US
Mailing Address - Phone:303-477-7044
Mailing Address - Fax:303-477-7621
Practice Address - Street 1:2460 W 26TH AVE
Practice Address - Street 2:C175
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-5308
Practice Address - Country:US
Practice Address - Phone:303-477-7044
Practice Address - Fax:303-477-7621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-23
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO08002826Medicaid
CO0303120001Medicare ID - Type Unspecified